| NPI | 1215112214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYNN ACUS-SOUDERS Clinical Psychologist 937-864-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5311) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-11-26 |